Fred L Davidson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

034010 Issued in AZ

Practice address

13802 W Camino del Sol
Suite 101
Sun City West, AZ 85375-4486

Phone

(623) 583-0151

Fax

(623) 583-2127

NPI assigned

Jan 24, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Matthew J Harmon DMD PLLC

  • General Practice Dentistry
  • Sun City, AZ
  • NPI 1376056754
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1497932198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13802 W CAMINO DEL SOL",
            "address_2": "SUITE 101",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754486",
            "telephone_number": "623-583-0151",
            "fax_number": "623-583-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13802 W CAMINO DEL SOL",
            "address_2": "SUITE 101",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754486",
            "telephone_number": "623-583-0151",
            "fax_number": "623-583-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "FRED",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "034010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale S Cutler, DDS
• Alina M. Danciu, M.D.
• Daniel L. Kessler, M. D., Facp, P.L.L.C.
• Stephen H Dault, MD
• David F. Jaffe DPM PC
• Davis Family Dentistry, LLC
• Joseph Davis, DPT
• Leslie I Davis, B.D.S., D.D.S.
• Matthew Day, PA
• Janette De Block, M.D.

• General Practice Dentistry in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.